Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists
It is uncertain whether stakeholder perceptions of pharmacist roles in the medication use process (MUP) have evolved alongside pharmacist advanced scope of practice. This study aimed to examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP. This IRB-approved study use...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Pharmacists Association 2023-07, Vol.63 (4), p.1120-1130 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1130 |
|---|---|
| container_issue | 4 |
| container_start_page | 1120 |
| container_title | Journal of the American Pharmacists Association |
| container_volume | 63 |
| creator | Kim, Eunhee Worley, Marcia M. Law, Anandi V. |
| description | It is uncertain whether stakeholder perceptions of pharmacist roles in the medication use process (MUP) have evolved alongside pharmacist advanced scope of practice. This study aimed to examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP.
This IRB-approved study used a cross-sectional design with online panels of patients, pharmacists, and physicians.
A Qualtrics panel of 1,004 patients, 205 pharmacists, and 200 physicians completed the surveys between August-November 2021.
Using role theory as framework, 12-item surveys were developed to examine perceptions regarding effectiveness of and best choice for improving each MUP step. Data analysis included descriptive statistics, correlations, and comparisons.
Majority of the physician, pharmacist, and patient samples believed that physicians prescribe the best possible medications (93.5%, 83.4%, 89.0% respectively), prescriptions are filled accurately (59.0%, 61.4%, 92.6% respectively) and timely (86.0%, 68.8, 90.2% respectively). Majority of physicians (78.5%) opined prescriptions are generally error free and patients are monitored (71%); fewer pharmacists agreed (42.9%, 51%; p |
| doi_str_mv | 10.1016/j.japh.2023.05.013 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2816765354</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1544319123001541</els_id><sourcerecordid>2816765354</sourcerecordid><originalsourceid>FETCH-LOGICAL-c307t-1c4042582eedecb500461834a286e974ef74cce1706cfefd8fd7520b4f496b983</originalsourceid><addsrcrecordid>eNp9kE1PwzAMhiME4mPwBzigHDmw4qRJ0yIuCPElTYIDnKMsdbVMW1viDmn_nkzbOHKKYz1-ZT-MXQrIBIjidp7NXT_LJMg8A52ByA_YqdBKjXOl4XBfi0qcsDOiOYA0RVUes5PcSDAGqlNWf8xcXDofaOCxWyDx0PJhhnyJdfBuCF3LV4S8j51Hojv-gdFjv-kT7xreJwTbgW54P1tT8MG1qXZtnf77YDpnR41bEF7s3hH7en76fHwdT95f3h4fJmOfgxnGwitQUpcSsUY_1QCqEGWunCwLrIzCxijvURgofINNXTa10RKmqlFVMa3KfMSut7lp2-8V0mCXgTwuFq7FbkVWlqIwhc61Sqjcoj52RBEb28ewdHFtBdiNXTu3G7t2Y9eCtsluGrra5a-myc_fyF5nAu63AKYrfwJGSz7p8cllRD_Yugv_5f8COwSMXQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2816765354</pqid></control><display><type>article</type><title>Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists</title><source>Alma/SFX Local Collection</source><creator>Kim, Eunhee ; Worley, Marcia M. ; Law, Anandi V.</creator><creatorcontrib>Kim, Eunhee ; Worley, Marcia M. ; Law, Anandi V.</creatorcontrib><description>It is uncertain whether stakeholder perceptions of pharmacist roles in the medication use process (MUP) have evolved alongside pharmacist advanced scope of practice. This study aimed to examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP.
This IRB-approved study used a cross-sectional design with online panels of patients, pharmacists, and physicians.
A Qualtrics panel of 1,004 patients, 205 pharmacists, and 200 physicians completed the surveys between August-November 2021.
Using role theory as framework, 12-item surveys were developed to examine perceptions regarding effectiveness of and best choice for improving each MUP step. Data analysis included descriptive statistics, correlations, and comparisons.
Majority of the physician, pharmacist, and patient samples believed that physicians prescribe the best possible medications (93.5%, 83.4%, 89.0% respectively), prescriptions are filled accurately (59.0%, 61.4%, 92.6% respectively) and timely (86.0%, 68.8, 90.2% respectively). Majority of physicians (78.5%) opined prescriptions are generally error free and patients are monitored (71%); fewer pharmacists agreed (42.9%, 51%; p<0.05). Most patients (92.4%) reported taking medications as directed; only 60% professionals agreed (p<0.05). Physicians selected ‘pharmacists’ as top choice for reducing dispensing errors, providing counseling, and helping patients take medications as directed. Patients wanted pharmacists to help manage their medications (87.0%) and ‘someone’ to periodically check on their health (100%). All 3 groups agreed physician-pharmacist collaboration was important to improve patient care and outcomes (90.0%-97.1%); however, 24% of physicians were uninterested in collaboration. Both professionals reported lack of time, appropriate setup, and interprofessional communication as challenges to collaboration.
Pharmacists believe their roles have evolved to align with expanded opportunities. Patients perceived pharmacists play comprehensive roles in medication management through counseling and monitoring. Physicians recognized pharmacist roles in dispensing and counseling, but not in prescribing or monitoring. Clarity in role expectations amongst these stakeholders is critical to optimizing pharmacist roles and patient outcomes.</description><identifier>ISSN: 1544-3191</identifier><identifier>EISSN: 1544-3450</identifier><identifier>DOI: 10.1016/j.japh.2023.05.013</identifier><identifier>PMID: 37207709</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><ispartof>Journal of the American Pharmacists Association, 2023-07, Vol.63 (4), p.1120-1130</ispartof><rights>2023 American Pharmacists Association</rights><rights>Copyright © 2023 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-1c4042582eedecb500461834a286e974ef74cce1706cfefd8fd7520b4f496b983</cites><orcidid>0000-0002-9697-2757 ; 0000-0002-3534-2671</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37207709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Eunhee</creatorcontrib><creatorcontrib>Worley, Marcia M.</creatorcontrib><creatorcontrib>Law, Anandi V.</creatorcontrib><title>Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists</title><title>Journal of the American Pharmacists Association</title><addtitle>J Am Pharm Assoc (2003)</addtitle><description>It is uncertain whether stakeholder perceptions of pharmacist roles in the medication use process (MUP) have evolved alongside pharmacist advanced scope of practice. This study aimed to examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP.
This IRB-approved study used a cross-sectional design with online panels of patients, pharmacists, and physicians.
A Qualtrics panel of 1,004 patients, 205 pharmacists, and 200 physicians completed the surveys between August-November 2021.
Using role theory as framework, 12-item surveys were developed to examine perceptions regarding effectiveness of and best choice for improving each MUP step. Data analysis included descriptive statistics, correlations, and comparisons.
Majority of the physician, pharmacist, and patient samples believed that physicians prescribe the best possible medications (93.5%, 83.4%, 89.0% respectively), prescriptions are filled accurately (59.0%, 61.4%, 92.6% respectively) and timely (86.0%, 68.8, 90.2% respectively). Majority of physicians (78.5%) opined prescriptions are generally error free and patients are monitored (71%); fewer pharmacists agreed (42.9%, 51%; p<0.05). Most patients (92.4%) reported taking medications as directed; only 60% professionals agreed (p<0.05). Physicians selected ‘pharmacists’ as top choice for reducing dispensing errors, providing counseling, and helping patients take medications as directed. Patients wanted pharmacists to help manage their medications (87.0%) and ‘someone’ to periodically check on their health (100%). All 3 groups agreed physician-pharmacist collaboration was important to improve patient care and outcomes (90.0%-97.1%); however, 24% of physicians were uninterested in collaboration. Both professionals reported lack of time, appropriate setup, and interprofessional communication as challenges to collaboration.
Pharmacists believe their roles have evolved to align with expanded opportunities. Patients perceived pharmacists play comprehensive roles in medication management through counseling and monitoring. Physicians recognized pharmacist roles in dispensing and counseling, but not in prescribing or monitoring. Clarity in role expectations amongst these stakeholders is critical to optimizing pharmacist roles and patient outcomes.</description><issn>1544-3191</issn><issn>1544-3450</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PwzAMhiME4mPwBzigHDmw4qRJ0yIuCPElTYIDnKMsdbVMW1viDmn_nkzbOHKKYz1-ZT-MXQrIBIjidp7NXT_LJMg8A52ByA_YqdBKjXOl4XBfi0qcsDOiOYA0RVUes5PcSDAGqlNWf8xcXDofaOCxWyDx0PJhhnyJdfBuCF3LV4S8j51Hojv-gdFjv-kT7xreJwTbgW54P1tT8MG1qXZtnf77YDpnR41bEF7s3hH7en76fHwdT95f3h4fJmOfgxnGwitQUpcSsUY_1QCqEGWunCwLrIzCxijvURgofINNXTa10RKmqlFVMa3KfMSut7lp2-8V0mCXgTwuFq7FbkVWlqIwhc61Sqjcoj52RBEb28ewdHFtBdiNXTu3G7t2Y9eCtsluGrra5a-myc_fyF5nAu63AKYrfwJGSz7p8cllRD_Yugv_5f8COwSMXQ</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Kim, Eunhee</creator><creator>Worley, Marcia M.</creator><creator>Law, Anandi V.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9697-2757</orcidid><orcidid>https://orcid.org/0000-0002-3534-2671</orcidid></search><sort><creationdate>202307</creationdate><title>Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists</title><author>Kim, Eunhee ; Worley, Marcia M. ; Law, Anandi V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-1c4042582eedecb500461834a286e974ef74cce1706cfefd8fd7520b4f496b983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Eunhee</creatorcontrib><creatorcontrib>Worley, Marcia M.</creatorcontrib><creatorcontrib>Law, Anandi V.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Pharmacists Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Eunhee</au><au>Worley, Marcia M.</au><au>Law, Anandi V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists</atitle><jtitle>Journal of the American Pharmacists Association</jtitle><addtitle>J Am Pharm Assoc (2003)</addtitle><date>2023-07</date><risdate>2023</risdate><volume>63</volume><issue>4</issue><spage>1120</spage><epage>1130</epage><pages>1120-1130</pages><issn>1544-3191</issn><eissn>1544-3450</eissn><abstract>It is uncertain whether stakeholder perceptions of pharmacist roles in the medication use process (MUP) have evolved alongside pharmacist advanced scope of practice. This study aimed to examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP.
This IRB-approved study used a cross-sectional design with online panels of patients, pharmacists, and physicians.
A Qualtrics panel of 1,004 patients, 205 pharmacists, and 200 physicians completed the surveys between August-November 2021.
Using role theory as framework, 12-item surveys were developed to examine perceptions regarding effectiveness of and best choice for improving each MUP step. Data analysis included descriptive statistics, correlations, and comparisons.
Majority of the physician, pharmacist, and patient samples believed that physicians prescribe the best possible medications (93.5%, 83.4%, 89.0% respectively), prescriptions are filled accurately (59.0%, 61.4%, 92.6% respectively) and timely (86.0%, 68.8, 90.2% respectively). Majority of physicians (78.5%) opined prescriptions are generally error free and patients are monitored (71%); fewer pharmacists agreed (42.9%, 51%; p<0.05). Most patients (92.4%) reported taking medications as directed; only 60% professionals agreed (p<0.05). Physicians selected ‘pharmacists’ as top choice for reducing dispensing errors, providing counseling, and helping patients take medications as directed. Patients wanted pharmacists to help manage their medications (87.0%) and ‘someone’ to periodically check on their health (100%). All 3 groups agreed physician-pharmacist collaboration was important to improve patient care and outcomes (90.0%-97.1%); however, 24% of physicians were uninterested in collaboration. Both professionals reported lack of time, appropriate setup, and interprofessional communication as challenges to collaboration.
Pharmacists believe their roles have evolved to align with expanded opportunities. Patients perceived pharmacists play comprehensive roles in medication management through counseling and monitoring. Physicians recognized pharmacist roles in dispensing and counseling, but not in prescribing or monitoring. Clarity in role expectations amongst these stakeholders is critical to optimizing pharmacist roles and patient outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37207709</pmid><doi>10.1016/j.japh.2023.05.013</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9697-2757</orcidid><orcidid>https://orcid.org/0000-0002-3534-2671</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1544-3191 |
| ispartof | Journal of the American Pharmacists Association, 2023-07, Vol.63 (4), p.1120-1130 |
| issn | 1544-3191 1544-3450 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2816765354 |
| source | Alma/SFX Local Collection |
| title | Pharmacist roles in the medication use process: Perceptions of patients, physicians, and pharmacists |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T17%3A00%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pharmacist%20roles%20in%20the%20medication%20use%20process:%20Perceptions%20of%20patients,%20physicians,%20and%20pharmacists&rft.jtitle=Journal%20of%20the%20American%20Pharmacists%20Association&rft.au=Kim,%20Eunhee&rft.date=2023-07&rft.volume=63&rft.issue=4&rft.spage=1120&rft.epage=1130&rft.pages=1120-1130&rft.issn=1544-3191&rft.eissn=1544-3450&rft_id=info:doi/10.1016/j.japh.2023.05.013&rft_dat=%3Cproquest_cross%3E2816765354%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2816765354&rft_id=info:pmid/37207709&rft_els_id=S1544319123001541&rfr_iscdi=true |